Lafiyan Jikin Mata "Excellent Health for Mothers"

This study aims to address the research question: Will continuous quality improvement, using a Break Through Series approach, increase uptake of PMTCT services and retention-in-care of HIV-infected pregnant women and mothers at six and 12 months postpartum? Continuous Quality Improvement (CQI) is a health systems intervention to assist programs to systematically improve services and health outcomes. The Break Through Series (BTS) is a specific CQI approach is a short-term (6- to 15-month) learning system that brings together teams from several hospitals or clinics (\"collaboratives\") to seek improvement in a focused topic area through a common process of data sharing and review Primary Objective To assess whether retention-in-care of HIV-infected women at six (6) months postpartum is higher at health facilities implementing CQI-BTS approaches than at health facilities not implementing CQI-BTS approaches. Secondary Objectives To assess whether implementation of CQI-BTS initiatives at health facilities increases: 1. Uptake of PMTCT services by HIV-infected pregnant women; 2. Retention-in-care of HIV-infected women at twelve (12) months postpartum; 3. Retention-in-care of HIV-exposed babies at six (6) and twelve (12) months of age; 4. Uptake of a pre-defined, minimum set of integrated RH/PMTCT services by HIV-infected women in health facilities.